Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.13 / $2,910.00 / $4,387.00	Facility		$433.13	$2,910.00	$4,387.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $324.85 / $324.85 / $355.97	Facility	54	$324.85	$324.85	$355.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $350.89 / $742.22	Professional		$291.83	$350.89	$742.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.73 / $460.87 / $696.31	Professional		$329.73	$460.87	$696.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $217.53 / $341.80	Professional		$29.53	$217.53	$341.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $447.13 / $651.60	Facility		$340.97	$447.13	$651.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $456.04 / $573.29 / $821.35	Professional		$456.04	$573.29	$821.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $370.08 / $606.52	Professional		$308.14	$370.08	$606.52